Abstract

Although cryptococcosis complicating steroid therapy is well described, cryptococcosis has not, to our knowledge, been reported in the English language literature since 1950 in the presence of Cushing's syndrome secondary to endogenous steroid excess. Accordingly, a case is described of fulminant cryptococcal pneumonia with dissemination and development of meningitis complicating Cushing's syndrome, probably secondary to an ectopic ACTH-producing hepatic adenocarcinoma.